{"id":"https://openalex.org/W1572846997","doi":"https://doi.org/10.1111/j.1360-0443.2011.03381.x","title":"APPLYING AN INTERNATIONAL PUBLIC HEALTH PERSPECTIVE TO PROPOSED CHANGES FOR DSM\u2010V","display_name":"APPLYING AN INTERNATIONAL PUBLIC HEALTH PERSPECTIVE TO PROPOSED CHANGES FOR DSM\u2010V","publication_year":2011,"publication_date":"2011-04-08","ids":{"openalex":"https://openalex.org/W1572846997","doi":"https://doi.org/10.1111/j.1360-0443.2011.03381.x","mag":"1572846997","pmid":"https://pubmed.ncbi.nlm.nih.gov/21477227"},"language":"en","primary_location":{"id":"doi:10.1111/j.1360-0443.2011.03381.x","doi":"https://doi.org/10.1111/j.1360-0443.2011.03381.x","is_oa":true,"landing_page_url":"https://doi.org/10.1111/j.1360-0443.2011.03381.x","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/j.1360-0443.2011.03381.x","source":{"id":"https://openalex.org/S70513841","display_name":"Addiction","issn_l":"0965-2140","issn":["0965-2140","1360-0443"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Addiction","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/j.1360-0443.2011.03381.x","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5057248496","display_name":"Vladimir B. Poznyak","orcid":"https://orcid.org/0000-0003-1817-583X","observed_orcids":["https://orcid.org/0000-0003-1817-583X"]},"institutions":[{"id":"https://openalex.org/I4210105654","display_name":"World Health Organization","ror":"https://ror.org/01f80g185","country_code":"CH","type":"government","lineage":["https://openalex.org/I4210105654"]}],"countries":["CH"],"is_corresponding":true,"raw_author_name":"VLADIMIR POZNYAK","raw_affiliation_strings":["Department of Mental Health and Substance Abuse World Health Organization, 20 Avenue Appia, Geneva 1211, Switzerland. poznyakv@who.int","Department of Mental Health and Substance Abuse World Health Organization, Department of Mental Health and Substance Abuse, 20 Avenue Appia, Geneva 1211, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Mental Health and Substance Abuse World Health Organization, 20 Avenue Appia, Geneva 1211, Switzerland. poznyakv@who.int","institution_ids":["https://openalex.org/I4210105654"]},{"raw_affiliation_string":"Department of Mental Health and Substance Abuse World Health Organization, Department of Mental Health and Substance Abuse, 20 Avenue Appia, Geneva 1211, Switzerland","institution_ids":["https://openalex.org/I4210105654"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071242022","display_name":"Geoffrey M. Reed","orcid":"https://orcid.org/0000-0002-6572-4785","observed_orcids":["https://orcid.org/0000-0002-6572-4785"]},"institutions":[{"id":"https://openalex.org/I4210105654","display_name":"World Health Organization","ror":"https://ror.org/01f80g185","country_code":"CH","type":"government","lineage":["https://openalex.org/I4210105654"]}],"countries":["CH"],"is_corresponding":true,"raw_author_name":"GEOFFREY M. REED","raw_affiliation_strings":["Department of Mental Health and Substance Abuse World Health Organization, Department of Mental Health and Substance Abuse, 20 Avenue Appia, Geneva 1211, Switzerland. E-mail: [email protected]","Department of Mental Health and Substance Abuse World Health Organization, Department of Mental Health and Substance Abuse, 20 Avenue Appia, Geneva 1211, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Mental Health and Substance Abuse World Health Organization, Department of Mental Health and Substance Abuse, 20 Avenue Appia, Geneva 1211, Switzerland. E-mail: [email protected]","institution_ids":["https://openalex.org/I4210105654"]},{"raw_affiliation_string":"Department of Mental Health and Substance Abuse World Health Organization, Department of Mental Health and Substance Abuse, 20 Avenue Appia, Geneva 1211, Switzerland","institution_ids":["https://openalex.org/I4210105654"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5018527224","display_name":"Nicolas C. Clark","orcid":"https://orcid.org/0000-0001-8697-6183","observed_orcids":["https://orcid.org/0000-0001-8697-6183"]},"institutions":[{"id":"https://openalex.org/I4210105654","display_name":"World Health Organization","ror":"https://ror.org/01f80g185","country_code":"CH","type":"government","lineage":["https://openalex.org/I4210105654"]}],"countries":["CH"],"is_corresponding":true,"raw_author_name":"NICOLAS CLARK","raw_affiliation_strings":["Department of Mental Health and Substance Abuse World Health Organization, Department of Mental Health and Substance Abuse, 20 Avenue Appia, Geneva 1211, Switzerland. E-mail: [email protected]","Department of Mental Health and Substance Abuse World Health Organization, Department of Mental Health and Substance Abuse, 20 Avenue Appia, Geneva 1211, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Mental Health and Substance Abuse World Health Organization, Department of Mental Health and Substance Abuse, 20 Avenue Appia, Geneva 1211, Switzerland. E-mail: [email protected]","institution_ids":["https://openalex.org/I4210105654"]},{"raw_affiliation_string":"Department of Mental Health and Substance Abuse World Health Organization, Department of Mental Health and Substance Abuse, 20 Avenue Appia, Geneva 1211, Switzerland","institution_ids":["https://openalex.org/I4210105654"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5018527224","https://openalex.org/A5057248496","https://openalex.org/A5071242022"],"corresponding_institution_ids":["https://openalex.org/I4210105654"],"apc_list":{"value":4600,"currency":"USD","value_usd":4600},"apc_paid":null,"fwci":0.8694,"has_fulltext":true,"cited_by_count":13,"citation_normalized_percentile":{"value":0.7142772,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":97},"biblio":{"volume":"106","issue":"5","first_page":"868","last_page":"870"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10043","display_name":"Substance Abuse Treatment and Outcomes","score":0.49729999899864197,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10043","display_name":"Substance Abuse Treatment and Outcomes","score":0.49729999899864197,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12308","display_name":"Mental Health and Psychiatry","score":0.40209999680519104,"subfield":{"id":"https://openalex.org/subfields/1211","display_name":"Philosophy"},"field":{"id":"https://openalex.org/fields/12","display_name":"Arts and Humanities"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.025800000876188278,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/dsm-v","display_name":"DSM-V","score":0.8560000061988831},{"id":"https://openalex.org/keywords/substance-use-disorders","display_name":"substance use disorders","score":0.925000011920929},{"id":"https://openalex.org/keywords/diagnostic-classification","display_name":"diagnostic classification","score":0.7450000047683716},{"id":"https://openalex.org/keywords/icd-11","display_name":"ICD-11","score":0.9860000014305115},{"id":"https://openalex.org/keywords/public-health-importance","display_name":"public health importance","score":0.492000013589859},{"id":"https://openalex.org/keywords/disease-burden","display_name":"disease burden","score":0.5440000295639038},{"id":"https://openalex.org/keywords/alcohol-consumption","display_name":"alcohol consumption","score":0.656000018119812},{"id":"https://openalex.org/keywords/tobacco-use","display_name":"tobacco use","score":0.9729999899864197},{"id":"https://openalex.org/keywords/illicit-drug-use","display_name":"illicit drug use","score":0.972000002861023},{"id":"https://openalex.org/keywords/clinical-utility","display_name":"clinical utility","score":0.4309999942779541},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.38499999046325684},{"id":"https://openalex.org/keywords/harm-reduction","display_name":"harm reduction","score":0.5860000252723694},{"id":"https://openalex.org/keywords/harm-reduction-services","display_name":"harm reduction services","score":0.32899999618530273},{"id":"https://openalex.org/keywords/harm-reduction-funding","display_name":"harm reduction funding","score":0.3240000009536743}],"concepts":[{"id":"https://openalex.org/C12713177","wikidata":"https://www.wikidata.org/wiki/Q1900281","display_name":"Perspective (graphical)","level":2,"score":0.6805660128593445},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.6224671602249146},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.45714500546455383},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3861585855484009},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.36389631032943726},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.3206949830055237},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.22024023532867432},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.13193023204803467},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009626","descriptor_name":"Terminology as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014943","descriptor_name":"Global Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014944","descriptor_name":"World Health Organization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019966","descriptor_name":"Substance-Related Disorders","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":true},{"descriptor_ui":"D038801","descriptor_name":"International Classification of Diseases","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D039721","descriptor_name":"Diagnostic and Statistical Manual of Mental Disorders","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1111/j.1360-0443.2011.03381.x","doi":"https://doi.org/10.1111/j.1360-0443.2011.03381.x","is_oa":true,"landing_page_url":"https://doi.org/10.1111/j.1360-0443.2011.03381.x","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/j.1360-0443.2011.03381.x","source":{"id":"https://openalex.org/S70513841","display_name":"Addiction","issn_l":"0965-2140","issn":["0965-2140","1360-0443"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Addiction","raw_type":"journal-article"},{"id":"pmid:21477227","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21477227","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Addiction (Abingdon, England)","raw_type":"Comment"}],"best_oa_location":{"id":"doi:10.1111/j.1360-0443.2011.03381.x","doi":"https://doi.org/10.1111/j.1360-0443.2011.03381.x","is_oa":true,"landing_page_url":"https://doi.org/10.1111/j.1360-0443.2011.03381.x","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/j.1360-0443.2011.03381.x","source":{"id":"https://openalex.org/S70513841","display_name":"Addiction","issn_l":"0965-2140","issn":["0965-2140","1360-0443"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Addiction","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9476000070571899,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W1572846997.pdf","grobid_xml":"https://content.openalex.org/works/W1572846997.grobid-xml"},"referenced_works_count":7,"referenced_works":["https://openalex.org/W1509609699","https://openalex.org/W1513699305","https://openalex.org/W2046298519","https://openalex.org/W2066553562","https://openalex.org/W2085846657","https://openalex.org/W2119904624","https://openalex.org/W2124292832"],"related_works":["https://openalex.org/W4232017091","https://openalex.org/W2072842271","https://openalex.org/W2119904624","https://openalex.org/W1977901523","https://openalex.org/W2901742914","https://openalex.org/W2124292832","https://openalex.org/W2061935110","https://openalex.org/W2610449193","https://openalex.org/W7211993991","https://openalex.org/W2971559012"],"abstract_inverted_index":{"O'Brien":[0,596,904,1224,1546],"outlines":[1],"the":[2,24,38,55,69,72,76,80,93,102,116,119,126,134,144,156,167,170,201,208,211,220,234,237,241,252,277,309,314,376,401,423,433,454,464,478,493,501,515,524,537,557,567,591,599,632,701,709,718,725,746,754,783,792,802,805,816,827,834,843,853,858,868,888,907,910,918,979,993,1008,1012,1086,1093,1098,1120,1123,1138,1143,1190,1220,1273,1299,1307,1318,1326,1353,1374,1387,1402,1455,1486,1489,1496,1502,1513,1557,1561,1584,1587,1608,1611,1619,1625],"main":[3,238],"changes":[4,40,720,1227,1271,1289],"proposed":[5,39,221,719,755,1115],"for":[6,36,68,96,131,138,176,183,251,305,384,392,398,420,564,571,693,731,748,829,857,874,897,970,1041,1116,1122,1256,1315,1337,1363,1505,1524],"classification":[7,146,172,243,278,315,498,558,722,1288,1331,1507],"of":[8,23,30,54,65,71,75,79,84,104,118,125,143,147,159,169,173,203,210,240,259,292,327,352,386,400,404,410,425,435,456,463,469,477,480,496,503,514,526,539,556,610,627,651,657,690,703,713,729,759,773,782,804,818,852,880,887,890,901,909,912,920,928,931,944,952,961,981,1011,1043,1048,1057,1088,1092,1109,1125,1141,1145,1162,1197,1261,1275,1278,1321,1332,1381,1389,1404,1432,1454,1485,1488,1517,1526,1539,1586,1590,1594,1610,1624],"substance":[9,365,451,470,521,527,658,732,1303,1497,1518,1575],"use":[10,184,366,381,391,397,452,471,485,522,528,612,640,659,761,803,1111,1194,1304,1365,1410,1424,1433,1498,1519,1576],"disorders":[11,151,175,531],"in":[12,51,140,185,200,224,265,422,453,472,492,543,588,700,708,721,735,763,786,832,917,978,1019,1051,1085,1135,1151,1167,1210,1228,1242,1272,1434,1532,1543,1553,1583,1603],"DSM-V,":[13,1117],"based":[14,1356],"on":[15,45,115,219,230,337,371,532,566,838,847,1016,1357],"an":[16,43,248,368,512,585,624,1163,1382,1415,1474],"extensive":[17],"consultation":[18],"process":[19,193],"and":[20,48,86,99,101,149,162,165,182,257,261,270,297,339,342,355,362,394,412,438,483,523,529,547,575,602,638,641,678,695,705,727,775,794,809,821,862,865,883,915,941,956,984,1032,1068,1072,1104,1155,1171,1195,1245,1267,1313,1426,1438,1446,1477,1515,1529,1556,1569,1596,1614],"a":[21,289,334,457,489,553,562,572,607,628,646,797,898,948,953,968,1054,1058,1069,1077,1107,1175,1203,1341,1396,1461,1533],"review":[22],"available":[25],"evidence":[26,1484],"[1].":[27],"In":[28,275,303,461,1495],"view":[29],"DSMs":[31],"wide":[32,290],"international":[33,242,249,1330,1383,1416,1475],"use,":[34],"particularly":[35,542,734,905,977,1134,1199,1306],"research,":[37,1435],"may":[41,444,616,766,1028,1247,1377],"have":[42,280,367,767,825,1442,1521],"impact":[44,336,370,525],"clinical,":[46],"research":[47],"educational":[49,1439],"practices":[50],"many":[52,1430],"parts":[53,1277],"world.":[56],"It":[57,1215],"is":[58,112,129,152,244,326,382,416,559,698,789,872,947,1147,1174,1216,1346,1395],"also":[59],"important":[60,586],"to":[61,133,226,245,284,307,348,375,418,430,439,487,511,520,560,577,580,590,597,603,619,663,791,800,810,877,892,925,973,999,1131,1148,1237,1291,1335,1352,1459,1491,1511,1550,1559,1574],"consider":[62],"potential":[63,772],"implications":[64,1445],"these":[66,231,1246,1293,1468],"proposals":[67,1469,1564],"development":[70,192,202,213,1161,1585],"relevant":[73],"sections":[74],"next":[77],"version":[78],"WHO's":[81,235,310,1591],"International":[82,1592],"Classification":[83,1593],"Diseases":[85,1595],"Related":[87,1597],"Health":[88,109,136,161,1598,1627],"Problems":[89],"(ICD),":[90],"which":[91,1302,1560],"remains":[92,1577],"global":[94,402,686],"standard":[95,250],"health":[97,179,293,312,322,329,341,353,441,467,505,533,545,550,688,894,950,1152,1187,1206,1262,1279,1541,1544,1571],"information":[98],"reporting":[100],"estimation":[103,1320],"disease":[105,319,388,405,414,517,1323],"burden.":[106],"The":[107,122,190,685,1046,1579,1600],"World":[108,135,1626],"Organization":[110,1628],"(WHO)":[111],"currently":[113],"working":[114],"revision":[117,124,168,1589],"ICD-10":[120,1052],"[2].":[121,274],"eleventh":[123,1588],"ICD":[127],"(ICD-11)":[128],"scheduled":[130],"submission":[132],"Assembly":[137],"approval":[139],"2014.":[141],"Development":[142],"ICD-11":[145,191,212,306],"mental":[148,174,178],"behavioral":[150],"being":[153,1510],"led":[154],"by":[155,288,450,595,770,1223,1252],"WHO":[157,378,710,835,844,1013,1478],"Department":[158],"Mental":[160],"Substance":[163],"Abuse,":[164],"includes":[166,194],"diagnostic":[171,757,1390,1405],"both":[177],"specialists":[180],"[3]":[181],"primary":[186,298,544],"care":[187,299,534,546,551,1153,1173,1280],"settings":[188,300,1154],"[4].":[189],"consultations":[195],"with":[196,606,655,796,923,1062,1083,1301],"Work":[197],"Groups":[198],"involved":[199,1582],"DSM-V":[204,222,592,1563],"[5].":[205],"Without":[206],"pre-empting":[207],"conclusions":[209],"process,":[214],"we":[215,988,1500],"offer":[216],"some":[217,764],"reflections":[218],"changes,":[223],"order":[225,304],"stimulate":[227],"scientific":[228],"debate":[229],"issues.":[232],"From":[233,500,536],"perspective,":[236],"purpose":[239,555],"serve":[246,308],"as":[247,676,812,814,967,1114,1408,1422,1509],"systematic":[253],"recording,":[254],"analysis,":[255],"interpretation":[256],"comparison":[258],"mortality":[260],"morbidity":[262],"data":[263,618,1450],"collected":[264],"different":[266,272],"countries":[267,1212],"or":[268,320,331,447,630,636,681,777,895,1270,1317,1412,1621,1629],"areas":[269],"at":[271,1007,1325,1373,1414,1473],"times":[273],"addition,":[276],"should":[279,316,963,1079],"high":[281],"clinical":[282,540,1437],"utility":[283],"facilitate":[285],"effective":[286,350,569,581,974,1527],"treatment":[287,983,1530,1567],"range":[291],"professionals":[294],"across":[295,1452],"specialty":[296],"worldwide":[301],"[6].":[302],"public":[311,328,466,504,687,893,949,1186,1205,1570],"mission,":[313],"contain":[317],"any":[318,957],"specific":[321,1055,1243,1276],"condition":[323],"entity":[324,1340],"that":[325,332,443,621,661,867,992,1026,1033,1075,1160,1287,1345,1399,1520,1535],"importance":[330,689,908,1487,1523],"has":[333,644,1183,1201],"significant":[335,408,490,954,1185,1204,1522],"individual":[338,1566],"population":[340,372,1327],"whose":[343],"accurate":[344,1319],"identification":[345],"can":[346,1310,1400],"lead":[347],"more":[349,650,670,1249,1253],"utilization":[351],"services":[354,1531],"interventions.":[356],"Globally,":[357],"alcohol,":[358,481],"tobacco,":[359],"illicit":[360,395],"drugs":[361],"other":[363,440,548,1089,1099,1191,1232,1393],"psychoactive":[364,436],"enormous":[369],"health.":[373],"According":[374],"latest":[377],"estimates,":[379],"alcohol":[380],"responsible":[383],"4.5%":[385],"total":[387],"burden,":[389],"tobacco":[390,482,696],"3.7%":[393],"drug":[396,484,881,902,1144],"0.9%":[399],"burden":[403,415,518,1324],"[7].":[406],"A":[407],"portion":[409],"alcohol-":[411],"drug-attributable":[413],"related":[417,790,1573],"injuries,":[419],"example,":[421,742,1386],"case":[424],"road":[426],"traffic":[427],"accidents":[428],"due":[429],"driving":[431],"under":[432],"influence":[434,1401],"substances,":[437],"conditions":[442,1542],"be":[445,488,617,745,965,1030,1081,1248,1311,1465],"caused":[446],"adversely":[448],"affected":[449],"absence":[455,1087],"'substance":[458,611,760,1110,1364,1409,1423],"dependence'":[459,820,856,871,914],"syndrome.":[460,1045],"spite":[462],"obvious":[465],"relevance":[468],"such":[473,675,1076,1407,1421],"cases,":[474],"appropriate":[475],"recording":[476],"role":[479],"continues":[486],"challenge":[491,1398,1504],"practical":[494],"implementation":[495],"current":[497,994,1562],"systems.":[499,535,1281],"standpoint":[502,538],"utility,":[506,541],"this":[507,1000,1493,1551,1604],"almost":[508],"certainly":[509],"leads":[510],"underestimation":[513],"true":[516],"attributable":[519],"associated":[530],"non-specialized":[549],"settings,":[552,737],"core":[554],"provide":[561,1336],"basis":[563],"guidance":[565],"most":[568],"interventions":[570,666],"given":[573],"diagnosis":[574,1042,1108,1124],"therefore":[576],"improve":[578],"access":[579,972],"treatments.":[582],"This":[583],"raises":[584],"issue":[587,1552],"relation":[589],"proposal":[593],"described":[594,1006],"eliminate":[598],"abuse/dependence":[600],"distinction":[601,622,633],"replace":[604],"it":[605,1181],"single":[608,1342],"category":[609,758],"disorder'.":[613],"While":[614],"there":[615],"suggest":[620],"represents":[623],"artificial":[625],"dichotomization":[626],"continuum":[629],"spectrum,":[631],"between":[634],"abuse":[635,882],"hazardous":[637],"harmful":[639],"dependence":[642,697,1044,1049,1084,1094,1165,1308],"syndrome":[643,1050,1095,1166],"been":[645],"clinically":[647],"useful":[648],"one,":[649],"less":[652,990],"separating":[653],"those":[654,668],"patterns":[656,1514],"behaviours":[660],"respond":[662],"brief":[664],"psychological":[665],"from":[667],"needing":[669],"substantial":[671,1443],"treatment,":[672],"including":[673],"pharmacotherapy,":[674],"detoxification":[677],"relapse":[679],"prevention,":[680],"agonist":[682,691,751],"maintenance":[683],"treatment.":[684],"pharmacotherapy":[692,730],"opioid":[694,704,750,935,945,1164],"reflected":[699],"inclusion":[702],"nicotine":[706],"agonists":[707],"Model":[711],"List":[712],"Essential":[714],"Medicines":[715],"[8].":[716],"How":[717],"would":[723,744,1118,1283,1464],"affect":[724],"effectiveness":[726],"safety":[728],"dependence,":[733],"non-specialty":[736],"requires":[738],"further":[739],"exploration.":[740],"For":[741,1385],"what":[743],"criteria":[747],"commencing":[749],"pharmacotherapy?":[752],"Moreover,":[753,1418],"broad":[756],"disorder'":[762,1112,1411,1425],"jurisdictions":[765],"unforeseen":[768],"consequences":[769],"increasing":[771],"stigmatization":[774],"administrative":[776,1268],"even":[778,1179],"legal":[779],"sanctions.":[780],"One":[781],"key":[784,1090,1503],"points":[785],"O'Brien's":[787],"article":[788],"nomenclature":[793,995,1236],"semantics":[795],"clear":[798,991],"direction":[799],"avoid":[801,926],"concept":[806],"'dependence":[807,1003,1361,1427],"syndrome'":[808,1004,1362,1428],"separate":[811],"much":[813],"possible":[815],"phenomena":[817],"'physical":[819,913],"'addiction'.":[822],"These":[823],"issues":[824],"plagued":[826],"field":[828],"decades.":[830],"Ironically,":[831],"1963":[833],"Expert":[836,845,1014],"Committee":[837,846,1015],"Addiction-Producing":[839],"Drugs":[840],"(now":[841],"called":[842],"Drug":[848,1017],"Dependence)":[849],"recommended":[850,1343],"substitution":[851],"term":[854,869],"'drug":[855,860,863,870],"terms":[859,1391,1406,1420],"addiction'":[861],"habituation'":[864],"emphasized":[866,1222],"'selected":[873],"its":[875,1022,1630],"applicability":[876],"all":[878],"types":[879],"carries":[884],"no":[885,1184,1548],"connotation":[886],"degree":[889],"risk":[891,960],"need":[896],"particular":[899],"type":[900],"control'[9].":[903],"emphasizes":[906],"division":[911],"'addiction'":[916,962,1413],"context":[919,980],"pain":[921,929,939,975,1169,1240],"management":[922,940,1170,1241],"opioids":[924,1063],"under-treatment":[927],"because":[930],"exaggerated":[932],"concerns":[933,958],"about":[934,959],"dependence.":[936],"Indeed,":[937],"inadequate":[938],"poor":[942],"availability":[943],"analgesics":[946],"problem":[951],"proportion,":[955],"not":[964,1029,1080,1101,1296,1616],"used":[966],"justification":[969],"limiting":[971],"management,":[976],"cancer":[982,1168],"palliative":[985,1172],"care.":[986,1545],"But":[987],"are":[989,1231,1581,1606],"actually":[996],"contributes":[997],"significantly":[998],"problem.":[1001],"When":[1002],"was":[1005],"16th":[1009],"report":[1010],"Dependence":[1018],"1969":[1020],"[10],":[1021],"definition":[1023],"clearly":[1024],"indicated":[1025],"tolerance":[1027,1067,1103],"present,":[1031],"withdrawal":[1034,1070,1105],"symptoms":[1035,1091],"were":[1036,1470],"neither":[1037],"necessary":[1038],"nor":[1039],"sufficient":[1040],"description":[1047],"provides":[1053],"example":[1056,1257],"surgical":[1059],"patient":[1060],"treated":[1061],"who":[1064],"shows":[1065],"increased":[1066],"state,":[1071],"specifically":[1073],"indicates":[1074],"person":[1078],"diagnosed":[1082],"[3].":[1096,1359],"On":[1097,1189],"hand,":[1100,1192],"counting":[1102],"towards":[1106],"(SUD),":[1113],"raise":[1119],"threshold":[1121],"severe":[1126],"SUD":[1127],"among":[1128],"people":[1129],"'addicted'":[1130],"prescription":[1132],"medicines,":[1133],"cases":[1136],"where":[1137],"chosen":[1139],"method":[1140],"procuring":[1142],"choice":[1146,1403],"spend":[1149],"time":[1150,1376],"doctors'":[1156],"surgeries.":[1157],"We":[1158,1282],"agree":[1159],"rare":[1176],"phenomenon":[1177],"that,":[1178],"if":[1180,1467],"occurs,":[1182],"impact.":[1188],"non-medical":[1193],"misuse":[1196],"pharmaceuticals,":[1198],"opioids,":[1200],"become":[1202],"problem,":[1207],"mainly":[1208],"documented":[1209],"developed":[1211],"[11,":[1213],"12].":[1214],"still":[1217],"debatable":[1218],"whether":[1219],"problems":[1221,1294],"really":[1225],"require":[1226],"classification.":[1229],"There":[1230],"strategies":[1233],"than":[1234],"changing":[1235,1419],"promote":[1238],"adequate":[1239],"populations,":[1244],"parsimoniously":[1250],"addressed":[1251],"targeted":[1254,1314],"solutions,":[1255],"through":[1258],"enhanced":[1259],"training":[1260],"professionals,":[1263],"removing":[1264],"unnecessary":[1265],"legislative":[1266],"barriers":[1269],"functioning":[1274],"urge":[1284],"extreme":[1285],"caution":[1286],"intended":[1290],"address":[1292,1565],"do":[1295,1615],"inadvertently":[1297],"compromise":[1298,1378,1449],"clarity":[1300],"disorders,":[1305],"syndrome,":[1309],"identified":[1312],"intervention":[1316],"substance-related":[1322,1540],"level.":[1328,1417],"An":[1329],"diseases":[1333],"seeks":[1334],"each":[1338],"morbid":[1339],"name":[1344],"specific,":[1347],"unambiguous,":[1348],"self-descriptive,":[1349],"simple,":[1350],"and,":[1351],"extent":[1354,1558],"possible,":[1355],"causality":[1358],"Abandoning":[1360],"disorder'\u2014or,":[1366],"potentially,":[1367],"'addiction'\u2014may":[1368],"bring":[1369],"certain":[1370],"advantages,":[1371],"but":[1372],"same":[1375],"basic":[1379],"requirements":[1380],"nomenclature.":[1384],"translatability":[1388],"into":[1392],"languages":[1394],"considerable":[1397],"after":[1429],"years":[1431],"statistical,":[1436],"applications":[1440],"will":[1441,1481],"cost":[1444],"could":[1447],"potentially":[1448],"comparability":[1451],"versions":[1453],"ICD.":[1456],"Specific":[1457],"efforts":[1458],"ensure":[1460],"smooth":[1462],"transition":[1463],"required":[1466],"finally":[1471],"accepted":[1472],"level,":[1476],"member":[1479],"states":[1480],"demand":[1482],"persuasive":[1483],"change":[1490],"justify":[1492],"investment.":[1494],"area,":[1499],"see":[1501],"developing":[1506],"systems":[1508],"characterize":[1512],"episodes":[1516],"delivery":[1525],"prevention":[1528],"way":[1534],"promotes":[1536],"reliable":[1537],"monitoring":[1538],"devotes":[1547],"attention":[1549],"his":[1554],"article,":[1555],"needs":[1568],"challenges":[1572],"unclear.":[1578],"authors":[1580,1613],"Problems.":[1599],"views":[1601],"expressed":[1602],"paper":[1605],"solely":[1607],"responsibility":[1609],"named":[1612],"necessarily":[1617],"reflect":[1618],"decisions":[1620],"stated":[1622],"policy":[1623],"Member":[1631],"States.":[1632]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":4},{"year":2012,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}